Provider Demographics
NPI:1407907942
Name:STEELE, MALINDA ANN (LCSW)
Entity type:Individual
Prefix:MS
First Name:MALINDA
Middle Name:ANN
Last Name:STEELE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3238 N RICHMOND ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-5818
Mailing Address - Country:US
Mailing Address - Phone:773-754-8150
Mailing Address - Fax:
Practice Address - Street 1:3238 N RICHMOND ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60618-5818
Practice Address - Country:US
Practice Address - Phone:773-754-8150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490024811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
1606183OtherBLUECROSSBLUESHIELD
1606183OtherBLUECROSSBLUESHIELD